Maternal death as a complication of uterine perforation with associated bowel prolapse per vaginum following attempted termination of pregnancy at a peripheral hospital: A case report

Placental mesenchymal dysplasia is a rare disorder mainly characterized by enlarged placenta. Patients on antenatal visits present with normal or slightly raised Beta-HCG, raised Alfa-fetoprotein and cystic structures on USG resembling a molar pregnancy. It has to be differentiated from molar pregnancies to avoid unnecessary termination of pregnancy. This condition is associated with IUGR or IUFD. Mostly the fetus are females. Due to lack of awareness of this condition it remains underreported. Here we present a case report of 20 years old female 37 week pregnant with IUGR with clinical suspicion of molar pregnancy gave birth to alive female fetus and on histopathological examination of placenta was diagnosed with PMD.

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Sepsis after uterine artery embolization-assisted termination of pregnancy with complete placenta previa: A case report

Journal of International Medical Research ◽

10.1177/0300060517723257 ◽

2017 ◽

Vol 46 (1) ◽

pp. 546-550 ◽

Cited By ~ 7

Author(s):

Yinfeng Wang ◽

Xiufeng Huang

Keyword(s):

Severe Sepsis ◽

Case Report ◽

Uterine Artery Embolization ◽

Uterine Artery ◽

Placenta Previa ◽

Termination Of Pregnancy ◽

High Grade ◽

Artery Embolization ◽

High Grade Fever ◽

Emergency Cesarean

Uterine artery embolization (UAE)-assisted induction of labor is an alternative method of managing pregnant women with complete placenta previa (CPP). Sepsis secondary to UAE, although rare, is a serious complication. We herein present a case of severe sepsis following UAE-assisted termination of a pregnancy at 27 gestational weeks in a woman with CPP. The woman developed a high-grade fever and elevated inflammatory indices following UAE. She did not recover until the infected tissue was removed by emergency cesarean section. This case suggests that the increasing use of UAE for termination of pregnancy in women with CPP requires awareness regarding the possibility of serious sepsis associated with this procedure.

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Uterine Perforation with Omental Prolapse in a Case of Unsafe Abortion

Asian Journal of Medical Sciences ◽

10.3126/ajms.v2i3.4264 ◽

2012 ◽

Vol 2 (3) ◽

pp. 145-147 ◽

Cited By ~ 3

Author(s):

Parinitha S Sangam ◽

Nirmala M Jayakumar ◽

Laxmi V Yaliwal

Keyword(s):

Inflammatory Cell ◽

Past History ◽

Termination Of Pregnancy ◽

Inflammatory Cell Infiltrate ◽

Emergency Laparotomy ◽

Uterine Perforation ◽

Medical Sciences ◽

Medical Termination ◽

Physician Patient ◽

Omental Fat

We report a rare case of prolapsed omentum presenting as mass per vagina in a 24 year old unmarried female following dilatation and curettage for termination of pregnancy by unqualified physician. Patient presented to Obstetrics and gynaecology (OBG) outpatient with bleeding per vagina since 15 days. Per speculum examination showed a greyish yellow mass protruding through cervical os into the vagina. Ultrasonography showed defect in the fundus of uterus. Past history revealed, she had undergone medical termination of pregnancy (MTP) outside at 5th month of gestation by nonallopathic doctor. Emergency laparotomy was done. Histopathologic examination of mass showed omental fat arranged in lobules with mixed inflammatory cell infiltrate. Uterine perforation is a well known complication of induced abortion. Although most uterine perforations at the time of curettage during abortion go unrecognized, serious complications do occur. DOI: http://dx.doi.org/10.3126/ajms.v2i3.4264 Asian Journal of Medical Sciences 2 (2011) 145-147

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